| Clinical Study of Hickman Catheters in Pediatric Oncologic Patient |
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Young-Ho Lee |
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Department of Pediatrics, Dong-A University School of Medicine, Pusan, Korea |
| 소아 암 환자의 항암요법을 위한 Hickman Catheter 사용에 대한 임상평가 |
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이영호 |
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동아대학교 의과대학 소아과학교실 |
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| Abstract |
Purpose
: We performed a retrospective study to evaluate the complications from
Hickman catheters in pediatric oncologic patients.
Methods
: Between October 1992 and July 1995, 27 Hickman catheters placed in 25
patients who were chemotherapy candidates were evaluated. The frequency and etiologic
organisms of catheter infections, mechanical complications, and any problems that
might have been related to catheter use were determined.
Results
: 1) The average duration of catheter life was 99.2 days, yielding a total accumulated experience of 2,479 catheter days. There were 31 occasions (1.22/100 catheter day) of catheter sepsis, and 5 occasions (0.20/100 catheter days) of superficial infections including 1 tunnel infection and 4 exit site infections.
2) Catheter sepsis were caused by 18 gram negative rods (58%), 8 gram positive
cocci (26%), 2 gram positive bacilli (6%), and 3 fungi(10%).
3) There were 35 occasions (1.41/100 catheter days) of occlusion,of which 34
occasions successfully treated with urokinase. 3 occasions of dislodgement, 3 occasions of leakage, and 1 occasion of hypersensitivity reaction to heparin were also noted.
Conclusion
: The Hickman catheter is a useful and reliable method of maintaining
central venous access in pediatric oncologic patients, but further studies are required to offer a practical approach to the management of Hickman catheters and their complications. |
| Key Words:
Hickman catheters, Complications, Sepsis |
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